Flexport Interface 90442A-03 Operations Manual Rev A

©2007 Spacelabs Medical, Inc. All rights reserved. Contents of this publication may not be reproduced in any form without the written permission of Spacelabs Medical. Products of Spacelabs Medical are covered by U.S. and foreign patents and/or pending patents. Printed in U.S.A. Specifications and price change privileges are reserved. Spacelabs Medical considers itself responsible for the effects on safety, reliability and performance of the equipment only if: •

assembly operations, re-adjustments, modifications or repairs are carried out by persons authorized by Spacelabs Medical, and

•

the electrical installation of the relevant room complies with the requirements of the standard in force, and

•

the equipment is used in accordance with the operations manual.

Spacelabs Medical will make available, on request, such circuit diagrams, component part lists, descriptions, calibration instructions or other information which will assist appropriately qualified technical personnel to repair those parts of the equipment which are classified by Spacelabs Medical as field repairable. Spacelabs Medical is committed to providing comprehensive customer support beginning with your initial inquiry through purchase, training, and service for the life of your Spacelabs Medical equipment.

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BirthNet, Clinical Browser, Data Shuttle, Flexport, Intesys, Mermaid, MOM, Multiview, PCIS, PCMS, PrintMaster, Quicknet, Sensorwatch, TRU-CAP, TRU-CUFF, TruLink, Ultralite, Ultraview, Ultraview Care Network, Ultraview Clinical Messenger, Ultraview Digital Telemetry, Ultraview SL, Uni-Pouch, UCW, Varitrend and WinDNA are trademarks of Spacelabs Medical, Inc. Other brands and product names are trademarks of their respective owners.

Caution: Rx Only

!

US Federal law restricts the devices documented herein to sale by, or on the order of, a physician. Before use, carefully read the instructions, including all warnings and cautions.

Table of Contents

Contents

Page

Introduction Overview... 1-1 Flexport System Interface Basics... 1-1 Setup... 1-2 Supporting Data Transfer... 1-3 Help Messages... 1-4

SenTec Digital Monitor Directory of Keys... 2-1 Overview... 2-3 Connecting the Flexport System Interface... 2-4 Display Detail... 2-4 Enabling Alarms... 2-6 Viewing Alarm Settings... 2-7 Entering Setup Information... 2-8 Freezing the Waveform on the Display... 2-10 Printing the Current Display... 2-10 Status Messages... 2-10

Appendix A - Symbols

Flexport System Interface SenTec Digital Monitor

i

Introduction

Contents Overview... 1 Flexport System Interface Basics... 1 Setup... 2 Supporting Data Transfer... 3 Help Messages... 4

Overview The Flexport® system interface provides access to monitoring data at the patient bedside. It enables data from compatible third-part peripheral devices such as ventilators, multigas analyzers, pulse oximeters, NIBP monitors, IV pumps, incubators, and capnographs to be displayed on Spacelabs Medical monitors. The Flexport system interface provides current numeric data, alarm information, and selected waveforms to the Spacelabs Medical monitor, enables you to print the current display, and can support data transfer via the Data Shuttle® option (refer to Supporting Data Transfer on page 1-3). Once device data is in the Spacelabs Medical monitor, it becomes an integral part of the monitoring system and can be communicated over the network to other locations providing alarms, centralized display, trending, and documentation capabilities at remote locations.

Flexport System Interface Basics The interface uses RS-232 serial communications to collect data and then transmits the data, via synchronous data link control (SDLC) communications, to the Spacelabs Medical monitor. The Flexport system interface has a male, 9-pin, SDLC connector at one end and either a female, 6-pin, modular jack or a female, 8-pin receptacle at the other end (refer to Figure 1-1). The interface contains no operator controls. Power to the interface is provided by the Spacelabs Medical monitor through the SDLC connection.

9-pin SDLC connector

6-pin modular jack

8-pin receptacle

Figure 1-1: Flexport system interface

Flexport System Interface SenTec Digital Monitor

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Introduction

Setup The Flexport system interface uses two cables: •

The “L-shaped” SDLC cable connects the Spacelabs Medical monitor to the Flexport system interface.

•

The modular cable has modular connectors (similar to U.S. telephone connectors) at each end and connects the Flexport system interface to the peripheral device.

SDLC cable

transition connector

SDLC terminator

Figure 1-2: Flexport system interface connectors The transition connector adapts the modular cable to the peripheral device. The SDLC terminator is used at one end of the SDLC cable when the SDLC cable is not used to connect additional Spacelabs Medical products to the Spacelabs Medical monitor. Note: • After receiving your Flexport installation kit, contact your Field Service Engineer or your Biomedical Department to install your SDLC cable and terminator on your monitor or module housing. •

Additional installation details are available in the 90485/86/91/99 Module Housings and Power Supplies Service Manual (P/N 070-0680-xx, located on CD-ROM 084-0700-xx).

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Introduction

Connecting the Flexport System Interface The Flexport system interface connects to a peripheral device such as a ventilator, IV pump, multigas analyzer, or capnograph as shown in Figure 1-3. Note: Your device setup may differ from the graphic shown here. Refer to the chapter corresponding to your peripheral device for specific setup information. SDLC cable SDLC terminator

Spacelabs Medical monitor

Flexport system interface

transition connector

modular cable

peripheral device

Figure 1-3: Flexport system interface connections

Caution: Attach only Spacelabs Medical-approved accessories to RS-232 connectors.

Supporting Data Transfer If you use the interface with a Spacelabs Medical monitor that includes a multi-parameter module with the Data Shuttle option, you can use that module’s data transfer capability to pass data from one monitor to another. To ensure the integrity of your data, you must finish data collection before you begin the transfer process. To end data collection, disconnect the modular cable from the interface. For further information on the Data Shuttle option, refer to the Bedside/Transport Monitors chapter in the Ultraview Care Network Operations Manual (P/N 070-1150-XX, located on CD-ROM 084-1101-xx)

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Introduction

Help Messages If you are in doubt about a key, touch the monitor HELP key, and then touch the key in question. The monitor will display a brief description of its function.

Flexport System Interface SenTec Digital Monitor

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SenTec Digital Monitor Directory of Keys (with PCO2/SpO2/PR parameters enabled on SenTec device)

S D M

SDM - MENU ALARM LIMITS

FREEZE

SETUP

ON

VIEW ALARMS

OFF

PRINT

These keys appear on the bedside monitor only.

SDM - SETUP LARGE TXT

SWEEP SPEED

SIZE

SMALL TXT

SDM - SETUP - SIZE WAVEFORM ON

SIZE ↑

OFF

SIZE

↓

SDM - SETUP - SWEEP SPEED 50 mm/sec

25 mm/sec

12.5 mm/sec

6.25 mm/sec

3.12 mm/sec

1.56 mm/sec

0.78 mm/sec

0.39 mm/sec

SDM - ALARM LIMITS PCO2

SPO2

PR

SDM - ALARM LIMITS - PR PR ON

OFF

HI = XX

LO = XX

SDM - ALARM LIMITS - SpO2 SPO2 ON

OFF

HI = XX

LO = XX

SDM - ALARM LIMITS - PCO2 PCO2 ON

OFF

HI = XX

LO = XX

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SenTec Digital Monitor

Directory of Keys (with only PCO2 parameter enabled on SenTec device)

S D M

SDM - MENU ALARM LIMITS

VIEW ALARMS

SETUP

PRINT

These keys appear on the bedside monitor only.

SDM - SETUP LARGE TXT SMALL TXT

SDM - ALARM LIMITS PCO2

SDM - ALARM LIMITS - PCO2 PCO2 ON

OFF

HI = XX

LO = XX

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SenTec Digital Monitor

Contents Overview... 3 Connecting the Flexport System Interface... 4 Display Detail... 4 Enabling Alarms... 6 Viewing Alarm Settings... 7 Entering Setup Information... 8 Freezing the Waveform on the Display... 10 Printing the Current Display... 10 Status Messages... 10

Overview The 90442A-03 Flexport system interface enables information from a SenTec Digital Monitor (SDM) to be displayed on Spacelabs Medical monitors. Configure the SDM as shown in Table 1. Consult the SDM manual for additional configuration setup procedures. Table 1: SenTec Digital Monitor Configuration Baud Rate

Minimum Software Revision

Installation Kit Part Number

Transition Connector Part Number

9600

v06.10

045-0162-xx

131-1972-xx (9 pin)

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SenTec Digital Monitor

Connecting the Flexport System Interface To connect the Flexport system interface to the SDM, complete the steps listed in the following Quickstart.

To connect the Flexport system interface: • • • •

Connect the SDLC cable to the 9-pin male connector on the Flexport system interface as shown in Figure 1-3 on page 1-3. Plug one end of the modular cable into the modular jack on the Flexport system interface. Plug the other end of the modular cable into the transition connector. Plug the transition connector into the 9-pin connector on the back of the SDM serial port.

The Spacelabs Medical monitor is now ready to display information from the SDM. To control other interface functions, refer to the sections that follow. Note: During the warm-up phase, the PCO2 values display in grey on the device and the monitor displays question marks (???). Once the device is sufficiently warmed up, PCO2 values will display normally.

Display Detail When you power ON a Spacelabs Medical monitor that is properly connected to a Flexport system interface, the monitor provides the following information from the SDM.



41.9 7.8

 STemp ºC

STime hours



85



PR bpm

S D M



31.8 99

PCO2 mmHg

SPO2 %





Figure 2-1: Bedside monitor, large text screen with PCO2/SpO2/PR enabled

Flexport System Interface SenTec Digital Monitor

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SenTec Digital Monitor 



41.9 7.8

STemp ºC

S D M

STime hours



31.8

PCO2 mmHg





Figure 2-2: Bedside monitor, large text screen with only PCO2 enabled







PCO2= 31.8mmHg S SPO2= 99% D PR= 85bpm M STemp= 41.9ºC 





Figure 2-3: Bedside monitor, small text screen with PCO2/SpO2/PR enabled



S D M



PCO2= 31.8mmHg STemp= 41.9ºC 



Figure 2-4: Bedside monitor, small text screen with only PCO2 enabled

    



PCO2 = 31.8mmHg SPO2 = 99% STemp = 41.9ºC STime = 7.8 hours

PR = 85bpm



S D M

SL370

Figure 2-5: Central monitor, split screen with PCO2/SpO2/PR enabled

Flexport System Interface SenTec Digital Monitor

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SenTec Digital Monitor  

PCO2 = 31.8mmHg

 

STemp = 41.9ºC STime = 7.8 hours

S D M

SAT1

Figure 2-6: Central monitor, split screen with only PCO2 enabled SDM parameter key Current PCO2 (transcutaneous carbon dioxide tension) value Current SpO2 (oxygen saturation) value Current PR (pulse rate) value

 Current STemp (sensor temperature measured in ºC) value  Current STime (site timer countdown clock) value  Alarm status bell (appears when alarms are turned ON)  Patient/room ID

Enabling Alarms The Alarm Limits menu allows you to enable alarm limits for each parameter. When an alarm is turned ON and that parameter value exceeds an alarm limit, all of the following occur: •

an alarm tone sounds,

•

the SDM key flashes,

•

the alarm limits key for that parameter flashes, and

•

the alarm bell flashes.

When all parameter alarms are turned OFF, alarm status messages will still cause the SDM key to flash. Alarm settings default to ON. Note: • Turning Flexport system interface alarms ON or OFF does not affect alarm settings on the SDM. •

Alarm limits can only be adjusted at the SDM. Alarm violation is detected at the SDM, and the Flexport system interface reports the alarm if it is turned ON for that parameter.

•

Alarm tones on the SDM can be selectively enabled or disabled. If alarm tones are also disabled at the Spacelabs Medical monitor(s), alarm violations will be reported visually only.

Flexport System Interface SenTec Digital Monitor

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SenTec Digital Monitor

To turn alarms ON or OFF from the Spacelabs Medical monitor: • • • •

Touch SDM. Select ALARM LIMITS. Select an alarm parameter. Touch the parameter alarm ON/OFF key.

Viewing Alarm Settings The VIEW ALARMS key enables you to display the current alarm settings for the SDM’s parameters (refer to Figure 2-7, Figure 2-8, Figure 2-9, and Figure 2-10). If alarms for all parameters are turned OFF, the Spacelabs Medical monitor displays SDM ALM OFF to the right of the SDM key. If alarms are turned ON for any parameter, a bell is displayed. The alarm bell flashes when an alarm limit is violated.

To view alarm settings: • •

Touch SDM. Touch VIEW ALARMS.

PCO2 45.0 2.0

PR

145 40

SPO2 100 70

31.8 99

PCO2

S D M

mmHg

SpO2 %

Figure 2-7: View Alarms screen, large text, PCO2/SpO2/PR enabled

PCO2

45.0 2.0

SPO2

100 70

PR 145

40

PCO2= 31.8mmHg S SPO2= 99% D M PR= 46bpm STemp= 42.0ºC

Figure 2-8: View Alarms screen, small text, PCO2/SpO2/PR enabled

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SenTec Digital Monitor

PCO2 45.0

2.0

S D M

31.8

PCO2 mmHg

Figure 2-9: View Alarms screen, large text, only PCO2 enabled

PCO2 45.0

2.0

S PCO2= 31.8mmHg D M STemp= 42.0ºC

Figure 2-10: View Alarms screen, small text, only PCO2 enabled

Entering Setup Information Changing setup information is helpful in optimizing the monitor display. The SETUP key controls the functions described below and affects only the monitor at which these adjustments are made.

Turning Waveforms ON or OFF You can turn waveforms OFF and display only the numeric values. When waveforms are OFF, the SIZE ↑ and SIZE ↓ keys, the SWEEP SPEED key, and the FREEZE ON/OFF keys are disabled. The default setting is WAVEFORM ON. When PCO2 is the only parameter enabled on the SDM device, the WAVEFORM ON/OFF key, the SWEEP SPEED key, and the FREEZE ON/OFF keys are not displayed on Spacelabs Medical monitors.

To turn the waveform display ON or OFF: • • • •

Touch SDM. Touch SETUP. Touch SIZE. Select WAVEFORM ON/OFF.

Flexport System Interface SenTec Digital Monitor

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SenTec Digital Monitor

Adjusting the Waveform Size If the waveform is too large to fit within the display zone, use the waveform size keys to adjust the display size. Note: The WAVEFORM ON/OFF key must be set to ON for the size keys to appear and function.

To adjust waveform size: • • • •

Touch SDM. Touch SETUP. Touch SIZE. Touch SIZE ↑ or SIZE ↓ to adjust the waveform size.

Selecting a Sweep Speed The sweep speed determines the speed at which the waveform trace moves across the display. Available sweep speeds are: 50, 25, 12.5, 6.25, 3.12, 1.56, 0.78, and 0.39 mm/second. The default setting is 12.5 mm/second.

To select a sweep speed: • • • •

Touch SDM. Touch SETUP. Touch SWEEP SPEED. Select the desired speed.

Selecting a Display Format Two display formats are available for the bedside monitor (refer to Display Detail on page 2-4). The default setting is LARGE TXT.

To select a display format: • • •

Touch SDM. Touch SETUP. Select LARGE TXT or SMALL TXT.

Flexport System Interface SenTec Digital Monitor

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SenTec Digital Monitor

Freezing the Waveform on the Display The FREEZE ON key enables you to freeze the waveform on the display. When you freeze the waveform, the Flexport system interface continues to process, update, and display numeric information. The default setting is FREEZE OFF.

To freeze the waveform on the display: • •

Touch SDM. Select FREEZE ON.

Printing the Current Display Touch the PRINT key to print the information shown on the current display. Each recording is identified by the bed name, patient name, time, and date. Note: • The patient name you enter in the Spacelabs Medical monitor is the name that appears on the printout. •

The PRINT key does not print the waveform. A waveform recording is obtained by touching the monitor RECORD key.

To print the SDM display: • •

Touch SDM. Touch PRINT.

Status Messages The message COMMUNICATION LINK LOST indicates a problem with the SDM or cabling. If the monitor displays this message, perform the following troubleshooting steps: •

Verify that the SDM is powered ON.

•

Verify that all cables are secure.

Note: • When powering OFF the SDM with all cables attached, do NOT power the SDM back ON until after the Flexport channel has disappeared from the Spacelabs Medical monitor (approximately one minute).

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SenTec Digital Monitor Table 2 lists the status messages that the Flexport system interface reports for the SenTec Digital Monitor during Flexport system interface operation. Table 2: Status Messages Indication

Alarm Sounds

MONITOR FAULT

Monitor faulty, do not use - contact qualified service personnel.

Yes

CONNECT SENSOR

Sensor is not detected - if sensor is connected, replace, do not use.

Yes

SENSOR FAULT

The system detected a severe sensor fault. Sensor is shut down - do not use, replace sensor.

Yes

TEMP. LIMITER ACTIVE

Temperature surveillance detected a temperature problem.

Yes

GAS LEAK IN DOCKING STATION

Docking station (DS) surveillance detected a leak in the DS chamber (for example, polluted by sensor gel).

Yes

SENSOR OFF PATIENT

The sensor was dropped or is removed from the patient and calibration is needed.

Yes

CALIBRATE SENSOR

Sensor is removed from the docking station and calibration is needed.

Yes

DOCKING STATION FAULT

Docking station surveillance detected a severe DS fault (for example, the gas pressure too high).

Yes

GAS BOTTLE EMPTY

Gas bottle on the docking station is empty.

Yes

SPO2 STABILIZING

SpO2 and pulse rate are not stable.

No

LOW SIGNAL

Low pulse signal.

No

MOTION ARTIFACT

Motion artifact detected.

No

SITE TIME ELAPSED

Check measurement site, and if necessary, relocate the sensor to prevent skin irritation.

Yes

REMEMBRANCE SENSOR

The sensor needs to be remembrance.

Yes

BATTERY LOW

Battery capacity is low (<10%) while the power supply cable is unplugged or the power supply is plugged in and charging.

Yes

PCO2 STABILIZING

PCO2 measurement is not yet stable after sensor application. PCO2 values do not yet reflect patient data.

No

Message Text

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SenTec Digital Monitor Table 2: Status Messages (continued) Message Text READY FOR USE

Flexport System Interface SenTec Digital Monitor

Indication Ths sensor is removed from the docking station and calibration is NOT needed

Alarm Sounds No

2-12

Appendix A - Symbols The following list of international and safety symbols describes all symbols used on Spacelabs Medical products. No one product contains every symbol.

HELP Key

Keyboard Connection

SPECIAL FUNCTIONS Key

Mouse Connection

RECORD Key

START/STOP Key

NORMAL SCREEN Key

START/STOP

MONITOR SETUP Key

STOP or CANCEL Key

ALARMS Key

CONTINUE Key

PREVIOUS MENU Key

ENTER Key

ON - Power Connection to Mains

OFF - Power Disconnection from Mains

ON Position for Push Button Power Switch

OFF Position for Push Button Power Switch

On Direction

ON/OFF

Television; Video Display

Video Output

ON - Part of the Instrument Only

OFF - Part of the Instrument Only

Flexport System Interface SenTec Digital Monitor

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